Julie Mruz Powers, MSSW

Individual provider Active NPI Case Manager/Care Coordinator · Vine Grove, KY

NPI 1285835504 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285835504
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
50 Diana LN
Vine Grove, KY 40175-6369
Phone
(270) 668-8063
Fax
(270) 828-3240
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

50 Diana LN
Vine Grove, KY 40175-6369

Mailing address

50 Diana LN
Vine Grove, KY 40175-6369
Phone (270) 668-8063

Other providers in Vine Grove, KY

All providers in Vine Grove, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.